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HomeMy WebLinkAboutResolutions - 1985.07.25 - 11158MISCELLANEOUS RESOLUTION 85191 June 13, 1985 BY: PUBLIC SERVICE COMMITTEE, James E. Lanni, Chairperson IN RE: EMS/DISASTER CONTROL - Oakland County Council for Emergency Medical Services (OAKEMS) Quality Assurance Program Joint venture TO THE OAKLAND COUNTY BOARD OF COMMISSIONERS: Mr. Chairperson, Ladies and Gentlemen: WHEREAS, the Oakland County Board of Commissioners by Miscellaneous Resolution #8234 (November 18, 1982) authorized that medical control be provided by the nine participating Oakland County hospitals and the Oakland County Council for Emergency Medical Services (OAKEMS), consistent with the Public Health Code; and WHEREAS, on March 9, 1983, the Michigan Department of Public Health approved the Oakland County Council for Emergency Medical Service as the medical control authority for the Oakland County Emergency Medical Services System responsible to assure medical accountability within the system through the adoption of standards of care, and operating procedures; and WHEREAS, quality assurance is a major goal of the Oakland County Council for Emergency Medical Services, (Miscellaneous Resolution #84236, August 30, 1984); and WHEREAS, the nine participating Oakland County hospitals have requested the Oakland County Council for Emergency Medical Services to assist the hospitals by conducting quality assurance activities through a partnership between the hospitals and the County of Oakland and recommends to the Oakland County Board of Commissioners to enter into the attached Quality Assurance Confidentiality Agreement; and WHEREAS, on January 17, 1985 the Oakland County Council for Emergency Medical Services adopted the attached Quality Assurance program consistent with the Bylaws and Public Health Code and recommends to the Oakland County Board of Commissioners to authorize the attached Quality Assurance Program. AAAmOk H1REBY APPRO`...7. T; FS' e-, page 2 NOW THEREFORE BE IT RESOLVED that the Oakland County Board of Commissioners authorizes the Oakland County Council for Emergency Medical Services Quality Assurance Program consistent with the attached program summary materials; and BE IT FURTHER RESOLVED that the Oakland County Board of Commissioners amends the Oakland County Council for Emergency Medical Service Bylaws to include the Quality Assurance Committee as a standing committee; and' BE IT FURTHER RESOLVED that the Chairperson of the Board of Commissioners be authorized to execute the attached Quality Assurance Confidentiality Agreement with the nine participating Oakland County hospitals; and BE IT FURTHER RESOLVED that the following new classification and corresponding 1985 salary ranges be established: Coordinator EMS Quality Assurance Base 6mo. lyr. 2yr. 3yr. OT $20,747 21,309 21,875 23,008 24,139 Reg. and to create one budgeted position as follows: EMS Quality Assurance Coordinator. BE IT FURTHER RESOLVED that written quarterly reports be presented at the Public Services Committee by the Manager of the Emergency Medical Services and Disaster Control Division and to the balance of the memebers of the Board of Commissioners. Mr. Chairperson, on behalf of the Public Services Committee, I move the adoption of the foregoing resolution. PUBLIC SERVICES COMMITTEE OAKEMS QUALITY ASSURANCE PROGRAM JOINT VENTURE EXECUTIVE SUMMARY EMS PROGRAM SUMMARY Oakland County Board of Commissioners policy authorized, and the Michigan Department of Public Health approved, OAKEMS as the medical control authority for assuring medical accountability within the Oakland County EMS System through the adoption of standards of care and operating procedures, consistent with the Public Health Code. The EMS and Disaster Control Division, in conjunction with OAKEMS, plans, coordinates, monitors, and evaluates the EMS System, which consists of 9 nospitals, 32 life support agencies, 72 ambulances, 70 emergency physicians, 900 emergency medical technicians, "0"COM, and other support resources to deliver emergency medical care. PROBLEM STATEMENT An OAKEMS goal, as approved by the Board of Commissioners, is to provide for quality assurance in the medical component of EMS. In addition, Michigan Department of Public Health rules require OAKEMS, as a medical control authority, to adopt quality assurance review procedures. OAKEMS has, in the past, conducted one-shot quality reviews; however, there is no EMS quality assurance program that continually reviews and evaluates the quality of care rendered within the EMS System. RECOMMENDED SOLUTION After careful review and analysis over a two year period, the nine participating Oakland County hospitals and OAKEMS (Attachment A) recommends to the Board of Commissioners to conduct an OAKEMS Quality Assurance Program (Attachment B) on an information and cost-share oasis through a contractual partnership (Attachment C) between the hospitals and the County. Because of the broad scope and the massive amounts of information a quality assurance program generates, a team effort is required between a Quality Assurance Committee and a Quality Assurance Coordinator. The OAKEMS Quality Assurance Committee, representing the nine hospitals, would be responsible for the assurance of patient care quality, measures of patient outcome, and monitoring medical report data elements. Each hospital would provide an emergency department physician director and EMS medical report information at an estimated cost of $30,720 (12 meetings x 3 hours per meeting x $80 per hour x 10 physicians, plus 2 hours extra each meeting for chairman). The EMS Quality Assurance Coordinator (Attachment D) would be responsible for the day-to-day operations of the Quality Assurance Program. The Coordinator assists the Committees to complete quality assurance studies and reports, reviews quality assurance data, and prepares information for the Committees review and action. The County would provide an EMS Quality Assurance Coordinator at an estimated annual cost of $29,920 for salary and fringes. The recommended solution will improve the Oakland County EMS System services by providing for a(n): o continual review and evaluation to improve the quality of care. o reduction of liability exposure. o reduction and better control of EMS System costs. o identification of continuing education needs. o assurance of compliance with policies and standards. Edward Barter John Karazim, M.D. Philip Wojcik Joseph L. Schirle, Jr., M.D. David Malicke, D.O. Michale Cervenak Ellen Al-Sarraf Ronald Krome, M.D. Andrew G. Wilson, Jr, M.D. William Crouch, Chief Lee Begole, Chief Charles Tice, Captain William S. Nelson Attachment A OAKEMS COUNCIL MEMBERSHIP A. HOSPITAL REPRESENTATION: Botsford General Hospital Crittenton Hospital Oakland General Hospital Pontiac General Hospital Pontiac Osteopathic Hospital Providence Hospital St. Joseph Mercy Hospital Wm. Beaumont Hospital - Royal Oak Wm. Beaumont Hospital - Troy B. FIRE DEPARTMENT REPRESENTATION: Royal Oak Fire Department C. POLICE DEPARTMENT REPRESENTATION: Novi Police Department D. PUBLIC SAFETY REPRESEENTATION: Oak Park public Safety E. COMMUNICATIONS REPRESENTATION: • Oakland County Frequency Advisory' Committee F. BOARD OF COMMISSIONERS REPRESENTATION: Republican Democrat Thomas A. Law Waiter Moore G. EMERGENCY DEPARTMENT NURSES ASSOCIATION REPRESENTATION: William Beaumont Hospital - Royal Oak H. CONSUMERS REPRESENTATION: Consumer Consumer Consumer I. MUNICIPAL ALS SERVICES REPRESENTATION: Birmingham Bloomfield Township Southfield West Bloomfield Waterford Pontiac J. PRIVATE AMBULANCE SERVICES REPRESENTATION: Community E.M.S., Inc. Novi Ambulance, Inc. Paramed, Inc. (Suburban) Paramed, Inc. (Fleet) Greg Webb R.N. Arthur Molinar Charlotte DeRoven Milton B. Stuecheli Gary Whitner, chief Charles Lindeberg, Chief Rollin G. Tobin, PSD Donald E. Richardson, Jr. Wendell Trager, Chief Robert J. Lamson, Chief Gregory Beauchemin Patricia Quinn Floyd Miles; Jr. Richard R. Rudlaff K. BASIC LIFE SUPPORT SERVICES REPRESENTATION: Holly Volunteer Ambulance Roger Gillespie ATTACHMENT B OAKEMS QUALITY ASSURANCE PROGRAM I. Definition of Quality in EMS A. Health care provided in the pre-hospital emergency setting the form of judgment or actions which produces outcomes which are acceptable (preferably optimal) to the patient physically, physiologically, phychologically, and socially. Definition of Quality Assurance A. A methodology which monitors and assures the planning, implementation, and assessment of quality of health care. Objectives of Quality Assurance A. To improve patient care. B. To reduce liability exposure. C. To ensure compliance with policies and standards. D. To improve documentation of care. E. To make rational performance appraisals F. To identify continuing education needs. IV. Committee Responsibilities A. Review and Audit Committee 1. Composed of interdisciplinary membership. 2. Responsible for monitoring system quality control. a. To review compliance with criteria consistent with the Quality Assurance program and to report to the Medical Control Committee on a regular basis. b. To assist in the development of emergency medical • services operational guidelines, standards, and minimum equipment/personnel requirements. c. To investigate complaints/grievances as requested by the Medical Control Committee or Quality Assurance Committee. B. Quality Assurance Committee 1. Composed of Emergency Department Directors or their physician designees, and the PMD. 2. Responsibility for quality assessment of confidential nature a. Assurance of patient care quality. 1) Review of management procedures, time expenditures, and patient assessments. 2) Validate protocols from their successes and failures. 3) Review of care rendered by individual personnel and agencies. b. Measures of patient outcomes. c. Monitor data elements on medical report. C. Relationships between Medical Control, Review and Audit, Quality Assurance Committee, and the PMD. 1. Quality Assurance Committee provides general system quality assessment information through a report to the Review and Audit Committee for review and action. 2. Quality Assurance Committee examines patient, physician, provider, specific quality assessment information and forwards, when necessary, those cases for investigation purposes to the PMD. V. Program Elements A. EMS System Audit Modes 1. Monitor Compliance with OAKEMS A.L.S. Provider Criteria (Responsibility of: Review and Audit Committee at relicensure time). 2. Monitor Compliance with OAKEMS A.L.S. Cooperating Hospital Criteria. (Responsibility of: Review and Audit Committee at relicensure time). 3. Monitor paramedic Skills Maintenance for Relicensure (Responsibility per P.M.D. 2/23/82 letter of: A.L.S. Coordinators, Cooperating Hospital and P.M.D.). 4. Monitor and inspect A.L.S. equipment, supplies and vehicle on a daily basis. (Responsibility of: A.L.S. Agency). 5. Monitor A.L.S. Drugs and IV Fluids (Responsibility of: Cooperating Hospital Pharmacy). 6. Monitor EMS System Parameters (Data Elements from A.L.S./B.L.S. Reporting Form (Responsibility of: General information - Review and Audit Committee, Specific information - Quality Assurance Committee). a. Response Time (request for service to time on scene). b. Time on scene. c. Patient transportation to non-hospital or out of County institution. d. A.L.S. or B.L.S. Unit Response. e. A.L.S. procedure use and type. f. Communication problem. g. Priority of call distribution. 7. Monitor Training programs (Responsibility of: Training Committee), 8. Monitor proper dissemination of EMS information to the public (Responsibility of: Consumer Information Committee) 9. Monitor VHF and UHF Radio Communications System (Responsibility of: "0"COM). 10. Monitor compliance with free-standing emergency care facility participation criteria (Responsibility of: Review and Audit Committee). B. Individual Case Medical Audits 1. Conduct standard audit of specific diagnosis as designated by OAKEMS (Responsibility of: Review and Audit Committee, Cooperating Hospital, or Quality Assurance Committee). 2. Case audits that may be conducted on an individual basis by Cooperating Hospitals, A.L.S. Coordinators, B.L.S. and First Responder providers of Quality Assurance Committee, 3. P.M.D. incident investigation procedure. APPROVED BY OAKEMS ON 1-17-85 3 (S) 16 (M) 10 (A) 101111..104.....AagiamimabliSge_. CURRENT OAKEMS STRUCTURE OAKEMS COUNCIL 30 (M,A,S) -----[--77: COMMUNICATTNS COMMITTEE OPERATIONS COMMITTEE DISASTER COMMITTEE .1693711 lowagoseeessaamermsearossoprame wormagmEmpannwarmlsogate CONSUMER INFORMATION COMMITTEE 7 (A) 11111~06n19* MEDICAL CONTROL COMMITTEE 14 (M) PROJECT MEDICAL DIRECTOR 1 (M) TRAINING COMMITTEE (A) ALS COORDINATO COMMITTEE 13 (S) WaRposmftwosiroweva BLS & FIRS RESPONDER ,COMMITTEE 13 (A) REVIEW & AUDIT COMMITTEE 7 (M) KEY • STAFF ASSIGNMENT CODE M.= Manager A = Administrative Assistant S = Communications SupervitiOr . Number in box is the number of Committee members. NOTE: (1) Some (MUMS Council and Committee members serve on more than one Committee. (2) Some OAKEMS Committee members are non-OAKEMS Council members. NINE .TARTICIPATING HOSPITALS OAKEMS COUNCIL 30 (M,A,S) noraamimail l COMMUNICATI,NS COMMITTEE I OPERATIONS COMMITTEE DISASTER COMMITTEE 13 (S) CONSUMER INFORMATION COMMITTEE MEDICAL PROJECT CONTROL MEDICAL COMMITTEE DIRECTOR 7 (A) 14 (M) I 1 1 (M TRAINING COMMITTEE Leenamerainatanwin est ALS OORDINATOR COMMITTEE 13 (S) QUALITY ASSURANCE COMMITTEE 10 (C) wizOmmitalkg BLS & FIRS RESPONDER COMMITTEE 13 (A) REVIEW & AUDIT COMMITTEE 7 (C) PROPOSED OAKEMS STRUCTURE KEY 1. STAFF ASSIGNMENT CODE M= Manager A = Administrative Assistant S = Communications Supervisor C = Quality Assurancv Coordinator 2. Number in box is the number of Committee members. ATTACHMENT C QUALITY ASSURANCE CONFIDENTIALITY AGREEMENT This Agreement made and entered into this day of , 1985, by and between the COUNTY OF OAKLAND, hereinafter referred to as "COUNTY," and the nine Oakland County participating hospitals as identified in Attachment A, hereinafter referred to as "HOSPITALS." WHEREAS, by Michigan Department of Public Health approval, the Oakland County Council for Emergency Medical Services (OAKEMS) is the Medical Control Authority for the Oakland County Emergency Medical Services (EMS) System responsible to assure medical accountability within the system through the promulgation of minimum standards of medical care, protocols, and operating procedures; and WHEREAS, the OAKEMS Bylaws requires the provision for quality assurance in the medical component of emergency medical services through effective review and audit; and WHEREAS, OAKEMS, on January 17, 1985 approved the Quality Assurance Committee Resolution (Attachment B). WHEREAS, in order to maintain strict confidentiality of OAKEMS records and information under MCLA 333.21515, MCLA 333.20202(2) (c) and MCLA 333.20175, while performing the responsibilities of "Medical Control" as required by MCLA 333.20705(2), it is necessary for the HOSPITALS to designate the Quality Assurance Committee of OAKEMS as an entity responsible for collecting records, data and knowledge for individuals or committees assigned professional review functions by each hospital pursuant to MCLA 333.20175(5) and 21515. WHEREAS, it is also necessary for the COUNTY and the OAKEMS Quality Assurance Committee to provide the records, data, and knowledge which it collects to the professional review entity of each hospital. NOW THEREFORE IT IS AGREED AS FOLLOWS: A. The HOSPITALS designates the OAKEMS Quality Assurance Committee as a committee assigned a "professional review function" according to MCLA 333.20175(5). B. The COUNTY and HOSPITALS agree: 1. That the COUNTY, through the OAKEMS Quality Assurance Committee, will provide each of the HOSPITALS the records, data or knowledge collected on behalf of the HOSPITALS' professional review functions, or reports derived therefrom, for the purpose of assisting those hospitals in improving the care rendered to patients before and after a patient is admitted to the hospital and for the purpose of reducing morbidity and mortality. 1 of 5 2. That all records, data and knowledge collected by the COUNTY and the OAKEMS Quality Assurance Committee are collected for the purpose of providing such records, data, and knowledge, or reports derived therefrom, to the professional practice review entities established in each of the HOSPITALS. As part of this process, each of the HOSPITALS assign to the COUNTY and the OAKEMS Quality Assurance Committee the responsibility of collecting records, data and knowledge as part of the HOSPITALS' ongoing professional review program. 3. That the administration and management of the quality assurance records is to be provided by the Oakland County Division of Emergency Medical Services and Disaster Control in accordance with COUNTY policies. 4. That all records, data, reports and knowledge developed and existing in either printed form or in the COUNTY computer system or the files of the Oakland County EMS and Disaster Control Division shall be clearly identified as being confidential and further that any unauthorized access, acquisition, duplication, and/or dissemination of same shall subject such individual(s) to disciplinary provisions of COUNTY Merit System Rules. 5. That all of the aforementioned records, data, and reports shall be stored either in the COUNTY computer system or the offices of the Oakland County EMS and Disaster Control Division, and further, access, acquisition, duplication, and/or dissemination of the reports generated by the quality assurance activities shall be permitted only as authorized in writing by the OAKEMS Chairman of the Quality Assurance Committee and with the concurrence of the Quality Assurance Committee. 6. That the "OAKEMS EMS Medical Report" submitted to the COUNTY be destroyed at the expiration of twelve (12) months from the date of the OAKEMS EMS Medical Report. 7. To treat all records, data, and knowledge relating to the professional review functions of quality assurance which are collected by the COUNTY and the OAKEMS Quality Assurance Committee as confidential and will resist the release of same and disclosure of any and all information related thereto to the fullest extent permissible within the law and will conduct professional review only in closed session. 2 of 5 S. That all records, data and knowledge relating to the professional review functions of quality assurance which are collected for or by the OAKEMS Quality Assurance Committee or for or by any of its personnel, employees, agents, or designees shall be used only for professional review functions of quality assurance by the professional review entity of each hospital. All records, data and knowledge so collected shall be subject to MCLA g333.20175(5) and, as such, shall not be public records and shall not be subject to court subpoena. 9. That all records, data, reports and knowledge derived from and/or developed as a result of the application of OAKEMS Quality Assurance/Audit Program or derived from and/or developed as a result of the adoption of the subject Resolution are hereby deemed to be confidential and that the unauthorized access, acquisition, duplication, and/or dissemination of such confidential information shall subject such individual(s) to penalties up to and including discharge from employment and/or all other available sanctions, 10. Each of the parties personnel, employees, agents, or designees who receive, process, review, store, or otherwise have access to the records, data, reports, and knowledge execute a written acknowledgement of confidentiality. 11. To fully indemnify and hold harmless the other signators hereto, their officers, employees and contractors from all claims, demands, losses, obligations, costs, expenses, liabilities, debts or damages resulting from its own acts or omissions including the acts or omissions of their officers, employees and contractors in the transmission and disclosure of information, except that Pontiac General Hospital shall be bound by this provision only to the extent allowed by law. 12. By execution of this Agreement, the parties hereto do hereby acknowledge, agree and intend this Agreement, by its terms and conditions shall be binding upon, in whole and in part, OAKEMS Quality Assurance Committee and any and all members thereof. 13. This agreement shall remain in full force and effect for a term of two years from its effective date and shall be automatically renewed thereafter for terms of one year each. Notice of termination shall be given in writing not less than ninety (90) days prior to the expiration of any such term. 14. All parties thereto retain all rights, privileges, or duties entitled to them by law which are not modified herein. 3 of 5 WITNESSES: FIRST PARTY COUNTY OF OAKLAND SECOND PARTY NINE PARTICIPATING HOSPITALS RAL HOSPITAL Title: By: Title: By: Title: By: Title: AND GENERAL HOSPITAL PONTIAC GENERAL HOSPITAL OtTEOPATHIC , I e ---ckfl) . • r 0 By: Title: p, PROVIDENCE HOSPITAL ) By:'1 IN WITNESS WHEREOF, the parties have caused this Agreement to be executed by their respective duly authorized officers on the date and year first above written. By: Title: /./ ST. JOSE,P.,11m , CY HOSPITAL Title; 7,,ze: f if/LT 4 of 5 WILLIAM BEAUMONT HOSPITAL-ROYAL OAK By Kenneth J. Matzick Vice President and Hospital Director Title: William Beaumont Hospital Royal Oak WILLIAM BEAUMONT HOSPITAL-TROY By John D. Labriola Vice President and Hospital Director Title: William Beaumont Hospital - Troy --?f- F APPROVED AS TO FORM Department of Co oratlor Counsel \— E37-L, Dirte 5 of 5 ATTACHMENT A NINE PARTICIPATING HOSPITALS Botsford General Hospital 28050 Grand River Avenue Farmington Hills, MI 48024 Providence Hospital 16001 West Nine Mile Road Southfield, MI 48075 Crittenton Hospital 1101 West University Drive Rochester, MI 48063 William Beaumont Hospital 3601 West 13 Mile Road Royal Oak, MI 48072 Oakland General Hospital 27351 Dequindre Madison Heights, MI 48071 William Beaumont Hospital 44201 Dequindre Troy, MI 48098 Pontiac General Hospital 461 West Huron Street Pontiac, MI 48053 St. Joseph Mercy Hospital 900 Woodward Avenue Pontiac, MI 48053 Pontiac Osteopathic Hospital 50 North Perry Street Pontiac, MI 48058 .PA ose4h L. Schirle, Jr.,‘"MD, Chairman Oakland County Council for Emergency Medical Services ATTACHMENT B OAKEMS RESOLUTION OAKLAND COUNTY COUNCIL FOR EMERGENCY MEDICAL SERVICES QUALITY ASSURANCE COMMITTEE WHEREAS, according to Michigan Statute "Medical Control" is an Organization of Authority approved by the Department of Public Health that is responsible to assure medical account- ability within an Emergency Medical Services system through the promulgation of minimum standards of medical care, protocol, and operating procedures approved by the Department of Public Health; administered by a licensed hospital or system of hospitals under the direction of a licensed physician designated as Project Medi- cal Director (PMD) by a licensed hospital or a system of licensed hospitals (MCLA 333.20705 (2), and WHEREAS, by miscellaneous Resolution 82347 the Oakland County Board of Commissioners on November 4, 1982 determined that "Medical Control be provided by the nine participating Oakland County Hospitals and the Oakland County Council for Emergency Medical Services...," and WHEREAS, on November 18, 1982 OAKEMS unanimously adopted a Resolution to Approve the "Medical Control Authority" as pre- sented and as contained in three manuals: OAKEMS Organizational and General Policies Manual (with supplements), Paramedic Stand- ard Operating Procedures (SOP) Manual, and the "0" COM Communica- tions Manual; and WHEREAS, by letter dated March 9, 1983, the Department of Public Health approved the OAKEMS Medical Control Authority, and WHEREAS, in order for the nine participating hospitals and OAKEMS to provide "Medical Control" as required by the Statute the hospitals have requested that the OAKEMS Quality Assurance Committee (comprised solely of licensed physicians) be employed as a "Committee assigned a Professional Review Function" within the meaning of MCLA 333,20175 (5), MCLA 333„2i513 (c)(d), and 333.21515 wherefore RESOLVED THAT the request of the nine participating hos- pitals that the OAKEMS Quality Assurance COMFIlitte% (comprised solely of licensed physicians from the nine participating hospi- tals) be employed as a "Committee assigned a Professional Review Function for purposes of providing "Medical Control" under State Statute, is hereby granted, and FURTHER RESOLVED THAT each advanced and basic emergency care service responding unit shall provide the Quality Assurance Committee with all reports and information the Committee requests for the purpose of fulfilling its responsibility as a "Committee Assigned a Professional Review Function" for purposes of providing "Medical Control," and FURTHER RESOLVED THAT each advanced and basic emergency care service responding unit that provides the Quality Assurance Committee with requested data in the manner described above does so upon the express condition that such information shall be gathered, utilized, stored, or distributed for no purpose other than for a Professional Review Function in a Health Facility or Agency strictly in the manner provided in the aforementioned Statute, APPROVED BY OAKEMS ON JANUARY 17, 1985 Attachment D OAKLAND COUNTY MICHIGAN Class Title: EMS QUALITY ASSURANCE COORDINATOR Division: Emergency Medical Services and Disaster Control Reports To: Manager-Emergency Medical Services and Disaster Control A. DESCRIPTION GENERAL SUMMARY Under general supervision, conducts the development, implementation, and coordination of design studies and evaluations on confidential EMS medical data to assure the provision of quality emergency medical care. Provides the OAKEMS Quality Assurance Committee, representing the nine participating Oakland County hospitals, with assistance in data management, education, and quality assurance review activities. Assists in the development and implementation of a quality assurance plan containing policy and procedures to conduct the OAKEMS Quality Assurance Program. Assists in the computerization of collected data. SUPERVISION EXERCISED None a TYPICAL DUTIES AND RESPONSIBILITIES Develops, implements, and maintains, in conjunction with the OAKEMS Quality Assurance Committee, an EMS quality assurance plan and manual with appropriate policies, procedures, and guidelines on quality assurance activities. Performs the appropriate methodology needed to provide for the continual review and evaluation of emergency medical health care rendered within the emergency medical services system. Coordinates, monitors and supervises the collection and maintains confidential EMS medical data from participating agencies to ensure appropriate confidentiality, and timely reviews and evaluations of the records. Acts as a liaison with the Computer Services Department to develop and implement a computerized EMS data evaluation management information system. Presents, on a regular basis, reports and information developed from analyzed data on emergency medical service system activities. Assists the OAKEMS Quality Assurance Committee, and other appropriate committees, in the identification of problems and determines an appropriate course of action to solve those problems. Provides assistance and training in quality assessment techniques to personnel within the emergency medical services system. Recommends to persons who conduct continuing education and training programs areas that require additional training emphasis. Recommends to the manager-EMS and Disaster Control policies, procedures, and improvements on the emergency medical services system. Submits quarterly and annual reports to the Manager-EMS and Disaster Control APPROVED BY: DATE: IMPORTANT NOTE: The primary purpose of this job description is to set a fair and equitable salary range for this job classification. Generally, only those key duties necessary for proper job evaluation and/or labor market analysis have been included. Other duties and responsibilities will be assigned by the supervisor. #85191 June 13, 1985 Moved by Lanni supported by Richard Kuhn the resolution be adopted. The Chairperson referred the resolution to the Personnel Committee and the Finance Committee. There were no objections. FISCAL NOTE BY: FINANCE OOTTTEE, DR. G. WILLIAM. CADDELL, CHAIRPERSON IN RE: EMS/DISASTER CONTROL - OAKLAND COUNTY COUNCIL FOR EMS QUALITY ASSURANCE PROGRAM JOINT VENTURE-MISCELLANEOUS RESOLUTION i85191 TO THE OAKLAND COUNTY BOARD OF COMMISSIONERS Mr. Chairperson., Ladies and Gentlemen: Pursuant to Rule XI-C of this Board, the Finance Committee has reviewed Miscellaneous Resolution #8519I and finds: • 1) The EMS/Disaster Control Division requests authorization to conduct an Oakland County Council for Emergency Medical Services (OAKEMS) Quality Assurance Program through contractual partnership between nine participating County hospitals and the County, 2) The proposed contract states each hospital will provide an emergency department physician director, and medical report information for evaluation purposes, 3) The County is requested to establish one (1) EMS Quality Assurance • • . Coordinator position responsible for day-to-day operations of the program, at a cost of $12,538 for the period August 1, through December 31, 1985, and an estimated annual cost of $29,750 for salary and fringe benefits, • 4) $12,538 is available in the 2985 Budget to fund one (1) EMS Quality Assurance Coordinator position for the balance of 2985 (see attached schedule), said funds to be transferred as follows: 177-10-00-1001 Salaries-Regular 177-10-00-2074 Fringe Benefits - 909-01-00-9900 Contingency $ 9,219 3,329 (12,538) -0- FINANCE COMMITTEE (' Salaries One (1) EMS Quality Assurance Coordinator III.= Benefits 7,875 3,319 FINANCIAL ANALYSTS. QUALITY ASSURANCE PROGRAM August 1 t1hrough December 31,198 Annual (110 pay periods ) $21,875 $ 9,219 Total $29,750 $12,538 Prepared by Budget Division. June 20, 1985 #85191 July 25, 1985 this 25th day of 19 85 ,Ju EN County Clerk/Register of Deeds Moved by Lanni supported by Hassberger the resolution, with Fiscal Note attached, be adopted. AYES: Fortino, Gosling, Hassberger, Hobart, R. Kuhn, S. Kuhn, Lanni, McPherson, Moffitt, Moore, Nelson, Olsen, Pernick, Price, Rewold, Skarritt, Webb, Wilcox, Aaron, Caddell, Calandro, Doyon. (22) NAYS: None. (0) A sufficient majority having voted therefor, the resolution, with Fiscal Note attached, was adopted. STATE OF MICHIGAN) COUNTY OF OAKLAND) I, Lynn D. Allen, Clerk of the County of Oakland and having a seal, do hereby certify that I have compared the annexed copy of the attached Miscellaneous Resolution adopted by the Oakland County Board of Commissioners at their meeting held on July 25,-1985 with the orginial record thereof now remaining in my office, and that it is a true and correct transcript therefrom, and of the whole thereof. In Testimony Whereof, I have hereunto set my hand and affixed the seal of said County at Pontiac, Michigan